Individual
MR. ROBERT JAY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
6410 FANNIN, #1115, HOUSTON, TX 77030
(713) 795-5300
(713) 795-0030
Mailing address
7115 STAFFORDSHIRE, HOUSTON, TX 77030
(713) 795-5300
(713) 795-5720
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88N184
BLUE CROSS BLUE S
—
01
—
PA00919
TX LICENSE NO
TX
Enumeration date
03/05/2007
Last updated
07/08/2007
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